Neurocognitive dysfunctions and functional state of patients after internal carotid endarterectomy

IF 0.4 Q4 PERIPHERAL VASCULAR DISEASE

Acta Angiologica Pub Date : 2018-10-25 DOI:10.5603/AA.2018.0016

Dorota Kozak-Putowska, J. Iłżecka, T. Zubilewicz

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引用次数: 0

Abstract

Introduction. Carotid endarterectomy (CEA) is a method of treatment of carotid stenosis, which significantly reduces the risk of ischemic stroke. This procedure may affect the patient’s neurocognitive functioning. The aim of the study was to evaluate the occurrence of neurocognitive disorders and to determine the functional status of the patients undergoing CEA. Material and methods. The study group consisted of 102 people who underwent CEA. Studies were performed preoperatively and repeated on the fourth postoperative day. The following scales were used: the Mini-Mental State Examination (MMSE), Activities of Daily Living Scale (ADL), Instrumental Activities of Daily Living (IADL) and the Hamilton Depression Rating Scale (HAM-D). Results. The average number of points obtained by patients in the MMSE, both before and after surgery is 26 points to 30 that may be obtained, which shows a subtle cognitive impairment. Almost every patient showed fitness both in terms of basic (ADL), as well as complex (IADL) activities before and after surgery. Conclusions. Low or average level of cognitive performance is observed in most subjects, both before and after CEA. There are many different factors that can affect the cognitive functions. The functional status of patients stood without significant changes.

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颈内动脉内膜切除术后患者的神经认知功能障碍和功能状态

介绍颈动脉内膜切除术（CEA）是一种治疗颈动脉狭窄的方法，可显著降低缺血性中风的风险。这个过程可能会影响患者的神经认知功能。本研究的目的是评估神经认知障碍的发生率，并确定接受CEA的患者的功能状态。材料和方法。研究组包括102名接受CEA的患者。研究在术前进行，并在术后第四天重复。使用以下量表：简易精神状态检查量表（MMSE）、日常生活活动量表（ADL）、工具性日常生活活动（IADL）和汉密尔顿抑郁量表（HAM-D）。后果在MMSE中，患者在手术前后获得的平均分数为26分至30分，这显示出轻微的认知障碍。几乎每个患者在手术前后的基本（ADL）和复杂（IADL）活动方面都表现出健康。结论。在CEA前后，大多数受试者的认知能力水平较低或平均。有许多不同的因素可以影响认知功能。患者的功能状态没有明显变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Angiologica PERIPHERAL VASCULAR DISEASE-

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

26 weeks

期刊介绍： Acta Angiologica is a bilingual (Polish/English) quarterly for angiologists and vascular surgeons as well as for other doctors interested in vascular disorders. Original papers, reviews, case reports and letters submitted by authors from different countries, concerning physiology, pathology, presentation, diagnostics and treatment of vascular system, are published. Thorough contents of Acta Angiologica provide valuable information about modern diagnostic and therapeutic issues as well as advances in basic sciences and pharmacology.